Appraisal Tools for Clinical Practice Guidelines: A Systematic Review
Publication Date
December 09, 2013
Journal
PLOS ONE
Authors
Ulrich Siering, Michaela Eikermann, Elke Hausner, Wiebke Hoffmann Eßer, et al
Volume
8
Issue
12
Pages
e82915
DOI
https://dx.plos.org/10.1371/journal.pone.0082915
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0082915
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/24349397
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3857289
Europe PMC
http://europepmc.org/abstract/MED/24349397
Web of Science
000328705200115
Scopus
84891915964
Mendeley
http://www.mendeley.com/research/appraisal-tools-clinical-practice-guidelines-systematic-review-7
Events
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Mendeley | Further Information

{"title"=>"Appraisal tools for clinical practice guidelines: A systematic review", "type"=>"journal", "authors"=>[{"first_name"=>"Ulrich", "last_name"=>"Siering", "scopus_author_id"=>"23991462900"}, {"first_name"=>"Michaela", "last_name"=>"Eikermann", "scopus_author_id"=>"49862951300"}, {"first_name"=>"Elke", "last_name"=>"Hausner", "scopus_author_id"=>"35795552800"}, {"first_name"=>"Wiebke", "last_name"=>"Hoffmann-Eßer", "scopus_author_id"=>"55939373800"}, {"first_name"=>"Edmund A.", "last_name"=>"Neugebauer", "scopus_author_id"=>"7101640481"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84891915964", "sgr"=>"84891915964", "pui"=>"372094559", "isbn"=>"1932-6203", "pmid"=>"24349397", "doi"=>"10.1371/journal.pone.0082915"}, "id"=>"b7a9909d-59c2-3b20-afb1-531ad7459245", "abstract"=>"IntroductionClinical practice guidelines can improve healthcare processes and patient outcomes, but are often of low quality. Guideline appraisal tools aim to help potential guideline users in assessing guideline quality. We conducted a systematic review of publications describing guideline appraisal tools in order to identify and compare existing tools.MethodsAmong others we searched MEDLINE, EMBASE and the Cochrane Database of Systematic Reviews from 1995 to May 2011 for relevant primary and secondary publications. We also handsearched the reference lists of relevant publications.On the basis of the available literature we firstly generated 34 items to be used in the comparison of appraisal tools and grouped them into thirteen quality dimensions. We then extracted formal characteristics as well as questions and statements of the appraisal tools and assigned them to the items.ResultsWe identified 40 different appraisal tools. They covered between three and thirteen of the thirteen possible quality dimensions and between three and 29 of the possible 34 items. The main focus of the appraisal tools were the quality dimensions “evaluation of evidence” (mentioned in 35 tools; 88%), “presentation of guideline content” (34 tools; 85%), “transferability” (33 tools; 83%), “independence” (32 tools; 80%), “scope” (30 tools; 75%), and “information retrieval” (29 tools; 73%). The quality dimensions “consideration of different perspectives” and “dissemination, implementation and evaluation of the guideline” were covered by only twenty (50%) and eighteen tools (45%) respectively. ConclusionsMost guideline appraisal tools assess whether the literature search and the evaluation, synthesis and presentation of the evidence in guidelines follow the principles of evidence-based medicine. Although conflicts of interest and norms and values of guideline developers, as well as patient involvement, affect the trustworthiness of guidelines, they are currently insufficiently considered. 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Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1307788", "https://ndownloader.figshare.com/files/1307789", "https://ndownloader.figshare.com/files/1307790", "https://ndownloader.figshare.com/files/1307791", "https://ndownloader.figshare.com/files/1307792"], "description"=>"<div><p>Introduction</p><p>Clinical practice guidelines can improve healthcare processes and patient outcomes, but are often of low quality. Guideline appraisal tools aim to help potential guideline users in assessing guideline quality. We conducted a systematic review of publications describing guideline appraisal tools in order to identify and compare existing tools.</p> <p>Methods</p><p>Among others we searched MEDLINE, EMBASE and the Cochrane Database of Systematic Reviews from 1995 to May 2011 for relevant primary and secondary publications. We also handsearched the reference lists of relevant publications.</p> <p>On the basis of the available literature we firstly generated 34 items to be used in the comparison of appraisal tools and grouped them into thirteen quality dimensions. We then extracted formal characteristics as well as questions and statements of the appraisal tools and assigned them to the items.</p> <p>Results</p><p>We identified 40 different appraisal tools. They covered between three and thirteen of the thirteen possible quality dimensions and between three and 29 of the possible 34 items. The main focus of the appraisal tools were the quality dimensions “evaluation of evidence” (mentioned in 35 tools; 88%), “presentation of guideline content” (34 tools; 85%), “transferability” (33 tools; 83%), “independence” (32 tools; 80%), “scope” (30 tools; 75%), and “information retrieval” (29 tools; 73%). The quality dimensions “consideration of different perspectives” and “dissemination, implementation and evaluation of the guideline” were covered by only twenty (50%) and eighteen tools (45%) respectively. </p> <p>Conclusions</p><p>Most guideline appraisal tools assess whether the literature search and the evaluation, synthesis and presentation of the evidence in guidelines follow the principles of evidence-based medicine. Although conflicts of interest and norms and values of guideline developers, as well as patient involvement, affect the trustworthiness of guidelines, they are currently insufficiently considered. Greater focus should be placed on these issues in the further development of guideline appraisal tools.</p> </div>", "links"=>[], "tags"=>["tools", "systematic"], "article_id"=>871860, "categories"=>["Information And Computing Sciences", "Biological Sciences", "Science Policy"], "users"=>["Ulrich Siering", "Michaela Eikermann", "Elke Hausner", "Wiebke Hoffmann-Eßer", "Edmund A. Neugebauer"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0082915.s001", "https://dx.doi.org/10.1371/journal.pone.0082915.s002", "https://dx.doi.org/10.1371/journal.pone.0082915.s003", "https://dx.doi.org/10.1371/journal.pone.0082915.s004", "https://dx.doi.org/10.1371/journal.pone.0082915.s005"], "stats"=>{"downloads"=>14, "page_views"=>15, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Appraisal_Tools_for_Clinical_Practice_Guidelines_A_Systematic_Review_/871860", "title"=>"Appraisal Tools for Clinical Practice Guidelines: A Systematic Review", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-12-09 03:03:05"}

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences/Medical humanities", "average_usage"=>[417, 593, 721, 812, 1015, 1110, 1199, 1273, 1399, 1514, 1656, 1750, 1809]}]}
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